Hemothorax caused by zone I penetrating neck injury effectively treated with pleural dome laceration covering performed using video-assisted thoracic surgery: a case report.
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Abstract
Background: Penetrating neck injuries in the area between the clavicles and the cricoid cartilage sometimes cause intrathoracic problems such as pneumothorax or hemothorax. Injuries of subclavian vessels were reported as a cause of hemothorax caused by penetrating neck injuries. Coil embolization and hemostasis with electrocautery were reported as treatment. Herein we present a case of hemothorax caused by penetrating neck injury, which was treated with pleural dome laceration covering performed using video-assisted thoracic surgery.
Case presentation: A 68-year-old Japanese woman presented to our hospital after sustaining a self-inflicted stab wound to her left neck and chest with a kitchen knife. She was in hemorrhagic shock due to hemothorax caused by penetrating neck injury. We performed video-assisted thoracic surgery and stopped bleeding with pleural dome laceration covering. We chose the treatment instead of coil embolization or hemostasis with electrocautery because the bleeding vessel was unclear.
Conclusion: Pleural dome laceration covering was effective for hemothorax that was caused by penetrating neck injury when the bleeding vessel was unclear.
期刊介绍：
JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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